Lisa Puma is a Psychiatric/mental Health in Portland, Oregon. Lisa Puma practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Lisa Puma is 1720028111. The last update date is 2013-03-21.
Lisa Puma's current location address is 610 Sw Alder St, Portland, Oregon. You can contact this provider via phone number 5038301624 and fax number 5034522872. The mailing address for Lisa Puma is 610 Sw Alder St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Puma |
|---|---|
| Address | 610 Sw Alder St, Portland, Oregon |
| Phone Number | 5038301624 |
| Fax Number | 5034522872 |
| Sole Proprietor | Y |
| Credentials | PMHNP |
NPI Number Detail
| NPI Number | 1720028111 |
|---|---|
| Provider Enumeration Date | 2006-06-07 |
| Last Updated Date | 2013-03-21 |
Provider Mailing Address Detail
| Address | 610 Sw Alder St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972053625 |
| Phone Number | 5038301624 |
| Fax Number | 5034522872 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health |
|---|---|
| Taxonomy | 363Lp0808X |
| Licence No | 087006211N6 |
|
Definition: An advanced practice registered nurse expert in providing psychiatric and mental healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 90511 | OR | -- | |
| 223347 | OR | -- |
Post Comment/ Review Below
What is the Lisa Puma's 1720028111?
The Lisa Puma's NPI (National Provider Identifier) Number is 1720028111. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Lisa Puma is physically located?
The Lisa Puma is situated at the following address: 610 Sw Alder St, Portland, OR 972053625.
What is Lisa Puma's area of expertise and its corresponding taxonomy classification?
The Lisa Puma's field of specialization is Psychiatric/mental Health, and it falls under the taxonomy code 363Lp0808X, which categorizes healthcare providers based on their areas of practice.
When did the Lisa Puma receive its 1720028111?
The Lisa Puma was issued its 1720028111 on 2006-06-07, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Lisa Puma, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lisa Puma, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-03-21.